Individual
PATRICIA ANN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3610
(217) 383-2704
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
(217) 326-8630
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036133153
IL
Other
Enumeration date
01/13/2010
Last updated
05/14/2021
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